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Gestational diabetes mellitus in rural population of Western India – Results of a community survey

CONTEXT: Gestational diabetes mellitus (GDM) should be diagnosed early, as untreated maternal hyperglycemia leads to adverse materno-fetal outcome. SUBJECTS AND METHODS: We studied prevalence of gestational diabetes by a house to house survey of a rural population in western India. A cluster of remo...

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Detalles Bibliográficos
Autores principales: Bhatt, Anjali A., Dhore, Prasanna B., Purandare, Vedavati B., Sayyad, Mehmood G., Mandal, Mrinal K., Unnikrishnan, Ambika G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4481658/
https://www.ncbi.nlm.nih.gov/pubmed/26180767
http://dx.doi.org/10.4103/2230-8210.159061
Descripción
Sumario:CONTEXT: Gestational diabetes mellitus (GDM) should be diagnosed early, as untreated maternal hyperglycemia leads to adverse materno-fetal outcome. SUBJECTS AND METHODS: We studied prevalence of gestational diabetes by a house to house survey of a rural population in western India. A cluster of remote villages with little access to health care were chosen. RESULTS: A total of 989 women participated in the study out of which 9.5% (n = 94) were diagnosed as GDM. In a stepwise multivariate regression analysis a higher body mass index during pregnancy was a predictor of gestational diabetes. The prevalence of diabetes was similar in women with gestational age of >24 weeks and <24 weeks, suggesting the need for early screening. CONCLUSIONS: Our results suggest the need for implementing health programs to diagnose and treat gestational diabetes in this population.